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Individual

MR. JEFF MICHAEL GOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1751 DRY CREEK RD, COOKEVILLE, TN 38501-9324
(932) 526-8589
Mailing address
1751 DRY CREEK RD, COOKEVILLE, TN 38501-9324
(932) 526-8589

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000743
TN

Other

Enumeration date
04/14/2007
Last updated
07/08/2007
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